Publications by authors named "G Cliff Lamb"
Objectives: Yellow fever (YF) remains a public health threat in Sub-Saharan Africa and South America, with an estimated 200,000 cases and 30,000 deaths annually. Although the World Health Organization considers Tanzania to be at low risk for YF because no YF cases have been reported, the country remains at alert to importation of the virus due to ecological factors and high connectivity to high-risk YF areas in other countries. This study aimed to identify points of interest with connectivity to high-risk YF areas to guide preparedness efforts in Tanzania.
View Article and Find Full Text PDFBackground: Rib fracture pain is a major issue but likely underappreciated, given that patients avoid activity due to the pain. Pain is one criterion used to determine if someone is a candidate for surgical stabilization of rib fractures (SSRF). The purpose of this study was to assess pain for rib fracture patients, hypothesizing pain from rib fractures is underappreciated in current practice.
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- Surgical stabilization of rib fractures (SSRF) can benefit patients, but only about 29.1% of those who qualify actually receive the procedure at the studied trauma center.
- The study involved a review of 3,432 rib fracture patients from 2016 to 2023, determining criteria based on the 2023 CWIS SSRF Guidelines.
- A significant portion of patients not undergoing SSRF had multiple potential reasons for the procedure but were managed without surgery, with "failure to wean from the ventilator" being the most common reason for SSRF consideration.
Article Synopsis
- Surgical stabilization of rib fractures (SSRF) is being increasingly accepted, but there's debate on how many fractures need stabilization for optimal chest wall stability (CWS).
- A finite element analysis was performed on different rib fracture scenarios to evaluate CWS after SSRF, focusing on cases with various patterns and stabilization approaches.
- The results showed that stabilizing all rib fractures significantly improves CWS, while leaving some fractures untreated can worsen stability, particularly in cases with flail segments.
Background: Radical radiotherapy for muscle-invasive bladder cancer (MIBC) is challenging due to large variations in bladder shape, size and volume during treatment, with drinking protocols often employed to mitigate geometric uncertainties. Utilising adaptive radiotherapy together with CBCT imaging to select a treatment plan that best fits the bladder target and reduce normal tissue irradiation is an attractive option to compensate for anatomical changes. The aim of this retrospective study was to compare a bladder empty (BE) protocol to a bladder filling (BF) protocol with regards to variations in target volumes, plan of the day (PoD) selection and plan dosimetry throughout treatment.
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